Update: Another State Takes a Hard Look at Pharmacist Prescribing

Montana has joined the growing number of states to consider expanding the authority pharmacists have to make clinical decisions and direct care. As reported by Kaiser Health News, the state’s Senate Public Health, Welfare and Safety Committee recommended a bill that would allow pharmacists to generate and supply prescription refills, along with originating prescriptions for medications and devices in certain situations. The bill has gained support on the rationale that, like many areas, Montana is suffering from a physician shortage that leaves too many residents with few options for primary care. Opponents, including the Montana Medical Association and the Montana chapter of the American Academy of Pediatrics, argue that prescribing authority comes too close to giving pharmacists “physician-like” authority without having had the same level of education, which could ultimately affect patient safety. If passed, the bill would allow pharmacists to prescribe for patients if a new diagnosis isn’t needed, for “minor conditions,” or in emergencies. They would not be allowed to prescribe controlled substances.